Active NPI
Juliana Marie Campbell, LPN
- Licensed Practical Nurse
- Wenatchee, WA
National Provider Identifier
1851056501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60300349
- Practice address
- 625 Okanogan Ave
Wenatchee, WA 98801-6409 - Phone
- (503) 686-3008
- NPI assigned
- Nov 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201130406LPN | OR | |
| Licensed Practical Nurse | 164W00000X | 61420 | ID | |
| Licensed Practical Nurse | 164W00000X | LP60300349 | WA | Primary |
Addresses
Primary practice location
625 Okanogan Ave
Wenatchee, WA 98801-6409
Mailing address
15520 SW Beef Bend Rd
Tigard, OR 97224-1165
Phone (503) 686-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61420 | ID | MD | Licensed Practical Nurse |
| 201130406LPN | OR | MD | Licensed Practical Nurse |
| LP60300349 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1851056501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 SW BEEF BEND RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972241165",
"telephone_number": "503-686-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 OKANOGAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988016409",
"telephone_number": "503-686-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JULIANA",
"middle_name": "MARIE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-07",
"last_updated": "2022-09-13",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "201130406LPN",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "ID",
"license": "61420",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60300349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.